COMSAE ALL COMPREHENSIVE EXAM SCRIPT COMPLETE QUESTIONS VERIFIED
SOLUTIONS
Question:
Innervation: Extensors of wrist and hand.
Answer:
Radial nerve
Question:
Innervation: Primary supinators of forearm.
Answer:
Biceps: musculocutaneous n Supinator: Radial n
Question:
Innervation: Primary pronators of forearm.
Answer:
Pronator teres and pronator quadratus: radial n
Question:
Innervation: Thenar eminence except abductor pollicus brevis (ulnar).
Answer:
Median n
Question:
Innervation: Hypothenar eminence and interossi.
,Answer:
Ulnar n
Question:
Innervation: 1st and 2nd lumbricles.
Answer:
Median n
Question:
3rd and 4th lumbricles.
Answer:
Ulnar n
Question:
Cubitus varus and valgus of the arm.
Answer:
Less than 3 and more than 15 degrees
Question:
Difference between problem with median nerve (C6-C8, T1) and with Klumpke's palsy (C7, C8,
T1).
Answer:
Both have extension of MCP, Flexion of PIP/DIP. Median nerve has thenar wasting and adducted
thumb
Question:
L1 motor and sensation.
,Answer:
Iliopsoas; anterior thigh below inguinal ligament
Question:
L2 motor and sensation.
Answer:
Iliopsoas, adductors, and quads; Middle anterior thigh
Question:
L3 motor and sensation.
Answer:
Adductors, quads; Anterior thigh just above knee
Question:
L4 motor and sensation.
Answer:
Anterior tibialis; Medial malleolus
Question:
L5 motor and sensation.
Answer:
Extensor hallicus longus, quads; Dorsal aspect of foot and big toe
Question:
S1 motor and sensation.
Answer:
, Peroneus longus and brevus, gastrocnemius; Lateral malleolus
Question:
Rib muscles for tx.
Answer:
Rib 1: Ant and mid scalenes 2: Post scalene 3-5: Pect minor 6-9: Serratus anterior 10-12: Lat dorsi
Question:
HVLA contraindications.
Answer:
Absolute: Osteoporosis, osteomyelitis, fractures in area of thrust (spondys), bone metastasis, severe
RA, Down's syndrome (cervicals) Relative: Acute whiplash, pregnancy, post surgery, herniated
disc, pts on anti-coags, vertebral artery ischemia (cervical)
Question:
Psoas syndrome findings.
Answer:
Backward sacral torsion Nonneutral L5 Ipsilateral psoas spasm Contralateral pelvic shift and
piriformis spasm Exaggerated lumbar lordosis when supine Positive thomas test
Question:
Ribs.
Answer:
Atypical: 1, 2, 11, 12 Typical: 3-10 True: 1-7 False: 8-12 Pump: 1-5 Bucket: 6-10 Caliper: 11-12
Question:
Axis vs plane.
SOLUTIONS
Question:
Innervation: Extensors of wrist and hand.
Answer:
Radial nerve
Question:
Innervation: Primary supinators of forearm.
Answer:
Biceps: musculocutaneous n Supinator: Radial n
Question:
Innervation: Primary pronators of forearm.
Answer:
Pronator teres and pronator quadratus: radial n
Question:
Innervation: Thenar eminence except abductor pollicus brevis (ulnar).
Answer:
Median n
Question:
Innervation: Hypothenar eminence and interossi.
,Answer:
Ulnar n
Question:
Innervation: 1st and 2nd lumbricles.
Answer:
Median n
Question:
3rd and 4th lumbricles.
Answer:
Ulnar n
Question:
Cubitus varus and valgus of the arm.
Answer:
Less than 3 and more than 15 degrees
Question:
Difference between problem with median nerve (C6-C8, T1) and with Klumpke's palsy (C7, C8,
T1).
Answer:
Both have extension of MCP, Flexion of PIP/DIP. Median nerve has thenar wasting and adducted
thumb
Question:
L1 motor and sensation.
,Answer:
Iliopsoas; anterior thigh below inguinal ligament
Question:
L2 motor and sensation.
Answer:
Iliopsoas, adductors, and quads; Middle anterior thigh
Question:
L3 motor and sensation.
Answer:
Adductors, quads; Anterior thigh just above knee
Question:
L4 motor and sensation.
Answer:
Anterior tibialis; Medial malleolus
Question:
L5 motor and sensation.
Answer:
Extensor hallicus longus, quads; Dorsal aspect of foot and big toe
Question:
S1 motor and sensation.
Answer:
, Peroneus longus and brevus, gastrocnemius; Lateral malleolus
Question:
Rib muscles for tx.
Answer:
Rib 1: Ant and mid scalenes 2: Post scalene 3-5: Pect minor 6-9: Serratus anterior 10-12: Lat dorsi
Question:
HVLA contraindications.
Answer:
Absolute: Osteoporosis, osteomyelitis, fractures in area of thrust (spondys), bone metastasis, severe
RA, Down's syndrome (cervicals) Relative: Acute whiplash, pregnancy, post surgery, herniated
disc, pts on anti-coags, vertebral artery ischemia (cervical)
Question:
Psoas syndrome findings.
Answer:
Backward sacral torsion Nonneutral L5 Ipsilateral psoas spasm Contralateral pelvic shift and
piriformis spasm Exaggerated lumbar lordosis when supine Positive thomas test
Question:
Ribs.
Answer:
Atypical: 1, 2, 11, 12 Typical: 3-10 True: 1-7 False: 8-12 Pump: 1-5 Bucket: 6-10 Caliper: 11-12
Question:
Axis vs plane.
